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Historia, Ciencias, Saude--Manguinhos Jun 2020This article deals with the discourses produced by the Argentine medical field relating to body transformation initiatives on the part of transvestites and transsexuals...
This article deals with the discourses produced by the Argentine medical field relating to body transformation initiatives on the part of transvestites and transsexuals in Argentina from 1971-1982. Based on the compilation and analysis of a set of articles published in academic medical journals, it examines the meanings that health professionals assigned to these initiatives prior to the legal rulings and national legislation that recognized gender identity as a human right. This analysis helps identify the particular features of those body transformation initiatives during the period studied, as well as the ways in which the medical field in Argentina attached moral, technical and professional meanings to them.
Topics: Argentina; Ethics, Medical; Female; Gender Identity; Government Regulation; History, 19th Century; History, 20th Century; Humans; Male; Periodicals as Topic; Sex Reassignment Procedures; Transsexualism; Transvestism
PubMed: 32667599
DOI: 10.1590/s0104-59702020000200012 -
Case Reports in Psychiatry 2019Ehlers-Danlos syndrome (EDS) comprises a series of rare hereditary connective tissue diseases characterized by musculoskeletal, skin, and cardiovascular involvements....
Ehlers-Danlos syndrome (EDS) comprises a series of rare hereditary connective tissue diseases characterized by musculoskeletal, skin, and cardiovascular involvements. EDS may be associated with physical as well as psychological pain that can lead to psychiatric problems. EDS imposes substantial psychological burden on patients, and recent large-scale studies have suggested that patients with EDS have a higher risk of mood disorders than the general population. To the best of our knowledge, we describe, for the first time, the cases of two Japanese patients with EDS complicated with mood disorders who secondarily developed transvestism that was judged strongly related to early stressful situations through childhood and adolescence. The first case was of a man in his mid-30s and the second of a woman in her late 20s. We report on detailed psychosocial data to further discuss the medical management and genetic counseling of such infrequent but challenging conditions. Physicians are advised to be aware of various potential psychological and psychiatric issues that may accompany EDS.
PubMed: 31467760
DOI: 10.1155/2019/7472301 -
Revista de Saude Publica 2023To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil.
OBJECTIVE
To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil.
METHODS
This is a systematic review, conducted from July 2020 to January 2021 and updated in September 2021, whose protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) platform, under code CRD42020188719. The survey of evidence was carried out in four databases and eligible articles were evaluated for methodological quality, and those with a low risk of bias were included.
RESULTS
Fifteen articles were selected and the findings were grouped into six categories according to their thematic approaches: Possibilities to transform health care; Transvestiphobia and transphobia: violations inside and outside the Brazilian Unified Health System (SUS); Professional unpreparedness to care for transvestites and transsexuals; Search for health care alternatives; Right to health for transvestites and transsexuals: utopia or reality?; The Transsexualization Process: advances and challenges.
CONCLUSIONS
There is evidence that health care for transvestites and transsexuals in Brazil is still exclusive, fragmented, centered on specialized care and guided by curative actions, resembling the care models that preceded the SUS and which have been heavily criticized since the Brazilian Sanitary Reform.
Topics: Humans; Brazil; Delivery of Health Care; Transsexualism; Transvestism
PubMed: 37075402
DOI: 10.11606/s1518-8787.2023057004693 -
Revista Brasileira de Enfermagem 2020to understand the life stories and itineraries of transvestites and transsexuals in health services.
OBJECTIVES
to understand the life stories and itineraries of transvestites and transsexuals in health services.
METHODS
study with a qualitative approach, anchored in the methodological framework of Oral History. Interviews were conducted and thematically analyzed.
RESULTS
two themes emerged: 1) gender and sexuality in life stories; and 2) the trajectories in health services. These revealed the challenges in the process of recognizing gender identity before the family and society. The reports show the dilemmas that transsexuals and transvestites face in health care, which ends up generating the removal of this population from services.
FINAL CONSIDERATIONS
it has been demonstrated that Oral History can increase knowledge, especially about life histories and trajectories in the health services of transvestites and transsexuals; in addition, information was offered that can assist managers and health professionals in making decisions or caring for these people.
Topics: Adolescent; Attitude of Health Personnel; Comprehensive Health Care; Discrimination, Psychological; Female; Gender Identity; Humans; Interviews as Topic; Male; Public Health; Qualitative Research; Sexual Behavior; Transsexualism; Transvestism; Young Adult
PubMed: 33146304
DOI: 10.1590/0034-7167-2019-0228 -
Frontiers in Psychiatry 2023Little is known about the nature and prevalence of sexual offending among youth in Hong Kong.
INTRODUCTION
Little is known about the nature and prevalence of sexual offending among youth in Hong Kong.
METHODS
Testing self-control theory and sexual health risk factors (i.e., risky sexual behaviors [general and two subtypes] and paraphilic interests [general and 14 subtypes]), the prevalence of self-reported sexual offending behaviors (i.e., threat of sexual assault, penetrative sexual assault, and nonpenetrative sexual offense) was examined in a community-based sample of 863 young people (aged 17 to 20) in Hong Kong.
RESULTS
In this study, men reported significantly higher levels of threat of sexual assault and of general and 12 subtypes of paraphilic interests than women; and women reported a significantly higher level of a specific paraphilic interest subtype (i.e., transvestic fetishism) than men. Logistic regressions found that, in general, a low level of self-control and high levels of risky sexual behaviors and paraphilic interests were important factors in the participants' likelihood of issuing threats of sexual assault and engaging in penetrative and nonpenetrative sexual assault.
DISCUSSION
Important practical implications for reducing the tendency of young people to engage in sexual offending behavior can be derived from this study.
PubMed: 37377476
DOI: 10.3389/fpsyt.2023.1143271 -
Characteristics of hormone use by travestis and transgender women of the Brazilian Federal District.Revista Brasileira de Epidemiologia =... 2019Travestis and transgender women resort to the use of hormones for body modification. Due to restrictions in the access to health services, self-medication is frequent....
INTRODUCTION
Travestis and transgender women resort to the use of hormones for body modification. Due to restrictions in the access to health services, self-medication is frequent. The aim of this study was to describe the self-reported prevalence of hormones used by travestis and transgender women in the Federal District. Method: This is a cross-sectional study with Respondent Driven Sampling (RDS) and Knowledge, Attitudes and Practices questionnaire (KAP) along with travestis and transgender women over 18 years in the FD. Prevalence was calculated using the RDS-II estimator. Logistic models were used to investigate the associated factors. A total of 201 volunteers participated.
RESULTS
There was a young sample (median age of 24 years). The overall prevalence of continuous use of hormones was 64.5%. The most used formulation was the combination of estrogen and progesterone (86.2%) by injectable (75.1%) and oral (66%) administration. Most participants (84%) got the hormones without a prescription. Guidance on the use of these hormones came from their peers in 41% of the cases. We observed that the continuous use of hormones is associated with race, income and age, as well as the search for guidance of healthcare professionals, which is also associated with schooling.
DISCUSSION
The reality of the process of hormone use by these people in the quest for femininity is reflected in high rates of self-medication.
CONCLUSION
This study contributes to the visibility of the need to improve the access conditions of these people to health services.
Topics: Adolescent; Adult; Age Factors; Brazil; Cross-Sectional Studies; Female; Gender Identity; Hormones; Humans; Logistic Models; Male; Middle Aged; Risk Factors; Self Medication; Self Report; Socioeconomic Factors; Transgender Persons; Transvestism; Young Adult
PubMed: 31576980
DOI: 10.1590/1980-549720190004.supl.1 -
International Journal of Environmental... Feb 2023Limited information is available on the prevalence and nature of sexual offending in Hong Kong. This cross-sectional study seeks to explore the role of risky sexual...
Limited information is available on the prevalence and nature of sexual offending in Hong Kong. This cross-sectional study seeks to explore the role of risky sexual behavior (RSB) and paraphilic interests in self-reported sexual offending behavior (i.e., nonpenetrative-only, penetrative-only, and nonpenetrative-plus-penetrative sexual assault) in a community sample of young adults in Hong Kong. Using a large sample ( = 1885) of university students, the lifetime prevalence of self-reported sexual offending was 18% ( = 342; 23% males ( = 166), 15% females ( = 176)). Based on the study subsample of 342 participants who self-reported sexual offending (aged 18-35), the findings indicated that males reported significantly higher levels of general, penetrative-only, nonpenetrative-plus-penetrative sexual assault; and paraphilic interest in voyeurism, frotteurism, biastophilia, scatophilia, and hebephilia than females; while females reported a significantly higher level of transvestic fetishism than males. No significant difference was found in RSB between males and females. Logistic regressions found that the participants who possessed a higher level of RSB, particularly penetrative behaviors, and paraphilic interest in voyeurism and zoophilia were less likely to engage in a nonpenetrative-only sexual offense. Conversely, the participants who possessed higher levels of RSB, especially penetrative behaviors, and paraphilic interest in exhibitionism and zoophilia, were more likely to engage in nonpenetrative-plus-penetrative sexual assault. The implications for practice in areas such as public education and offender rehabilitation are discussed.
Topics: Male; Female; Humans; Young Adult; Hong Kong; Cross-Sectional Studies; Sexual Behavior; Sex Offenses; Paraphilic Disorders
PubMed: 36901292
DOI: 10.3390/ijerph20054279